- Molina Healthcare (Iowa City, IA)
- …activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid, ... focused reviews and recommends corrective actions. + Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.… more
- Evolent (Des Moines, IA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed care, or related… more
- NASCO (Des Moines, IA)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- Mom's Meals (Ankeny, IA)
- Position SummaryThe Senior Director - Compliance and Privacy is a strategic and experienced leader responsible for independent management and direction of the ... Program, under the leadership of the Chief Compliance Officer. The Sr. Director - Compliance and Privacy collaborates extensively with management, including Senior… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …technical writing, editing, and communication skills along with collaborative mindset. ** Preferred :** + Experience with design and analyses of observational studies, ... Health Economic data and research is strongly preferred . + Experience with latest statistical methods and Data...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …in marketing, business, healthcare, or a related field required; advanced degree preferred (eg. MBA, MPH, MHA, advanced clinical degrees with experience in ... Ability to grasp and translate product features into customer benefits ** PREFERRED QUALIFICATIONS** + Healthcare providers with behavioral health backgrounds (eg… more
- United Therapeutics (Des Moines, IA)
- …innovative and inspiring where you can truly make a difference. The National Director , Therapy Access will be responsible for leading the United Therapeutics (UT) ... and collaborating across multiple stakeholders + 3+ years of experience in claims reimbursement including: + Coverage, coding, billing and payment; + Working with… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …appropriate objectives Up to 30% travel is required*, based upon business needs. Preferred + Prior experience with successfully launching a brand + Experience within ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Molina Healthcare (IA)
- …years Application Design, Development Experience and, Management, Healthcare Industry ** Preferred Experience** 10+ years, Healthcare Industry + **_Experience with AI ... Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS reporting,… more
- Kyndryl (Des Moines, IA)
- …a strong plus, especially in payer/provider operations and care management workflows. ** Preferred Qualifications: ** + 15+ years' experience in contact center sales, ... Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is… more